Laserfiche WebLink
fDATEBE�FM11)W)j3d EHD LOG NUMBER <br /> F411tl3H 1V1N3lNN�alAN3 �• SAN.IOAQUIN COUNTY �./ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> £LOZ 6 0 3n^ 05-6232 <br /> Telepphone 868 East Hazefton Avenue, 4-don, CA 2 <br /> 209)468-34 0 Fax: (209)464-0 8 vAvw.qjgov.org/ehc1 <br /> ww.ejgov.org/ehc1 <br /> Q3nI�03HPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: EDWARD MACDANIEL BUSINESSIAGENCY: NOVA CONSULTING <br /> ADDRESS: . 3210 GOUGH ST #105 CITY/STATE2IP: SAN FRANCISCO, CA 94123 <br /> PHONE(1): 415-240-3205 PHONE(2); FACSIMILE: 415-070-2038 <br /> TENTATIVE'APPOINTMENT DATE: - Time: <br /> (Please allow 10 business de_ date of application submittal-'Tentative only-must be confirmed) - <br /> ❑CHECK BOX TO EXPEDITE R EST 125 FEE(CASH OR CHECK Y) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12/9/2013 <br /> Electronlc Information: ❑Liat❑Map-Descrlpt)on: <br /> FILE ADDRESS EHD USE ONLY <br /> d�., Street If Street Name city Unit 1 <br /> �J 1. 1176 ROSEMARIE LANE s OCKTON Po Uhh 4-CLL", 111�60t1 Q <br /> 1100-129 MONACO COURT STOCKTON Ax) Un ? 4X7( Unite <br /> 3, 4131 N. CROWN AVE STOCKTON n a > <br /> 17 <br /> 4. 4444 N. PERSHING AVE STOCKTON U J G1 Unit3 <br /> 6., 4501 N. PERSHING AVE STOCKTON <br /> 6 4445 N. PERSHING AVE STOCKTON <br /> 7. 4555 N. PERSHING AVE STOCKTON <br /> � I <br /> B. <br /> S S <br /> 10. Vq- aunit a <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 1 <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FAMU Y ®SOLID WASTE FACILITY EM �) ,3 <br /> ®OTHER CLEANUP SITE(NoN-LOP) E]HOUSING ABATEMENT O WASTE TIRE - � 0', <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL),,',�, ❑FOOD FACILITY ❑DAIRY (Z-) <br /> ®ABOVEGROUND TANK o.- CHICKEN❑ RANCH/DOG KENNEL ®WASTEWATER TREATMENT <br /> ®HAZARDOUS WASTEMATARDOUS MATERIALS�7= ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FAOLITJ/-- ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING U1 COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the apQlicant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> h"- ✓ <br /> eNo"i - q 4 YI S 1'h U5 T-)., 41916 450► ht`� U54 d y U Ll,s 6Y+q <br /> l)aLn} it wPe Or14966 �„r6kn _ coo 0?-((00( dc9 x(002 . ! � <br /> Received I lone Dec. 9. 20 11 :00 No, 4709 — <br />